Goals - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

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Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets strategic goals that prioritize innovation and research and development.
Actively supports and encourages the achievement of others' goals by providing guidance, resources, and constructive feedback.
Helps to set goals for the organization.
Creates goals based on the specific needs and challenges of each task or project.
Develops multiple scenarios and strategies to prepare for various future possibilities and ensures that goals are adaptable to changing circumstances.
Trustworthy	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Demonstrates a sense of responsibility and commitment to public trust.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Networks with others in the company to better understand the workflows and operational requirements.
Creates joint ventures with others to create new entities to pursue a common goal.
Develops key business contacts at other companies.
Builds alliances between departments and teams.
Strives to cultivate and sustain trustful and committed relationships with all partners.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates business cycles and trends and makes strategic adjustments in a timely manner.
Asks the 'right' questions to size up or evaluate situations.
Able to align resources to meet the business needs of the company.
Evaluates risks in terms of their business impact and likelihood of occurrence.
Looks at business problems from a variety of perspectives.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks and utilizes mentors to help guide professional development.
Maintains a high level of energy to respond to demands of the job.
Able to adapt the department to changing business demands and climate.
Encourages risk taking for developing potential business opportunities.
Is comfortable operating in an environment of uncertainty.
Vision	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of their own actions and how that impacts the department.
Creates an ambitious and aspirational vision for the company.
Fosters a culture that aligns with the organization's vision.
Demonstrates conviction and enthusiasm when discussing the vision, energizing the team.
Stays ahead of the curve and guides the team towards innovative solutions and strategic decisions.

31. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for [Participant Name Here]'s assessment.